At a Glance
- Tasks: Assess and manage claims while making fair and efficient decisions.
- Company: FCA-regulated business with a focus on fairness and efficiency.
- Benefits: Hybrid working, competitive salary, and opportunities for professional growth.
- Other info: Join a diverse team that values respect and equality.
- Why this job: Make a real difference in people's lives by managing important claims.
- Qualifications: Experience in claims assessment and strong communication skills.
The predicted salary is between 35000 - 45000 £ per year.
Job Description
Senior Claims Assessor
Location
- Bristol or Salisbury
- Hybrid Working
- Summary of the role
An FCA-regulated business is seeking a dedicated professional to join the company, as a Senior Claims Assessor.
They are looking for someone who will make fair, correct, efficient decisions whilst hitting our targets as well as effectively assessing claims in at least one or more of the following areas, depending on the business need: Income Protection & Waiver of Premium, Critical Illness, Permanent Total Disability and Death claims.
- What you'll be doing
- Making admittance and medical decisions and make recommendations within admittance authority for declines/terminations/MIS-representation.
- Proactively manage a nominated portfolio of claims.
- Liaising with claimant(s) throughout the claims process and thoroughly investigate all claims, requesting and using appropriate medical and other evidence to assess the claim proactively within the agreed service standards.
- Making recommendations to develop innovatively the Company's claim philosophy and protocols.
- Providing authoritative technical support to the Risk Claims administration teams.
- Meeting service delivery measures of agreed service levels and elapse times.
- Undertaking projects, sponsored by the Risk Claims Manager, to develop the effectiveness of the Company's claims management and improve its standing in the eyes of key stakeholders
- Carrying out technical audits and review technical competencies, providing feedback and coaching to ensure claims are managed in accordance with the Company's claims philosophy and protocols and that claims assessors are maintaining appropriate levels of technical competence and safeguarding the company's relationship and their reinsurers.
- Meeting Technical and Quality Audit targets.
What we're looking for
- Previous experience in at least one of Income Protection, Waiver of Premium, Critical Illness, Permanent and Total Disability and Death Claims assessment.
- Excellent telephone manner with the ability to deal with anxious distressed and sometimes angry customers.
- Strong Microsoft and general PC skills.
- Proven ability to make admittance, declinature and medical decisions and make recommendations within admittance authority.
- Proven ability to coach and mentor less experienced claims assessors to enable them to develop their technical knowledge.
- Flexibility and adaptability
- Planning and organisational skills
- Excellent letter writing skills, the ability to draft detailed non-standard letters.
- A good level of general education in appropriate subjects is preferred.
Reasonable Adjustments
Respect and equality are core values to us.
We are proud of the diverse and inclusive community we have built, and we welcome applications from people of all backgrounds and perspectives.
Our success is driven by our people, united by the spirit of partnership to deliver the best resourcing solutions for our clients.
If you need any help or adjustments during the recruitment process for any reason
, please let us know when you apply or talk to the recruiters directly so we can support you.
